7 November 2023
During a routine inspection
We carried out a comprehensive inspection at Ilex View Medical Practice on 31 October and 7 November 2023. Overall, the practice is rated as Good. We rated key question responsive as requires improvement. The practice was working to improve access, this was not yet reflected in the GP patient survey data.
Safe – Good.
Effective – Good.
Caring – Good.
Responsive – Requires improvement.
Well-led – Good.
This inspection was the first inspection for this registered provider. The last inspection of Ilex View Medical Practice (under the previous registered provider) was in June 2016, where all key questions were rated good.
The inspection reports for this service can be found by selecting the ‘all reports’ link for Ilex View Medical Practice on our website at www.cqc.org.uk
Why we carried out this inspection.
We carried out this inspection in line with our inspection priorities.
How we carried out the inspection.
This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.
This included:
- Conducting face to face staff interviews and using video conferencing.
- Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
- Reviewing patient records to identify issues and clarify actions taken by the provider.
- Reviewing evidence from the provider,
- Reviewing data available in the public domain.
- A site visit.
- Speaking with patients by telephone after the inspection visit.
Our findings
We based our judgement of the quality of care at this service on a combination of:
• what we found when we inspected
• information from our ongoing monitoring of data about services and
• information from the provider, patients, the public and other organisations.
We found that:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- Patients received effective care and treatment that met their needs.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- The way the practice leadership team worked with their staff promoted the delivery of high-quality, person-centre care.
- The practice team recognised the challenges of ensuring patient access to the right clinical care and treatment and was working with the primary care team on a quality improvement initiative to seek ways to improve patient access to timely appropriate care and treatment.
- The practice’s patient participation group (PPG) was re-established in 2022 and the participants were actively involved in devising a patient questionnaire to seek out patient views at the time of this inspection.
- The areas identified during the inspection for improvement were addressed immediately or within 48 hours. This included reviewing and following up patients who were potential outliers for missed monitoring and ensuring the nursing clinical team were appropriately trained to level 3 in safeguarding people.
Whilst we found no breaches of regulations, the provider should:
- Continue to implement actions to improve patient access to care and treatment.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Health Care